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Individual

KATIE LEE BETHUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
718 MAGNOLIA DRIVE, TUSCALOOSA, AL 35487-0001
(256) 605-5622
Mailing address
718 MAGNOLIA DRIVE, TUSCALOOSA, AL 35487-0001
(256) 605-5622

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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